Form preview

Get the free FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONG-TERM CARE FACILITIES - www2 ...

Get Form
This document serves as a financial and statistical report required for long-term care facilities in Illinois for the fiscal year 2008, detailing the facility's expenses, revenue, and operational
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign financial and statistical report

Edit
Edit your financial and statistical report form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your financial and statistical report form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit financial and statistical report online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Check your account. It's time to start your free trial.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit financial and statistical report. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
Dealing with documents is always simple with pdfFiller.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out financial and statistical report

Illustration

How to fill out FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONG-TERM CARE FACILITIES

01
Gather all relevant financial data and statistical information from the long-term care facility.
02
Identify the reporting period for the cost report.
03
Begin filling out sections related to revenue, including sources and amounts.
04
Outline all expenses, categorized by type (e.g., personnel, supplies, services).
05
Allocate costs to specific departments or units within the facility as necessary.
06
Calculate any cost adjustments or allowances based on state or federal guidelines.
07
Review and ensure all data entered is accurate and supported by documentation.
08
Complete any demographic and operational statistics required by the form.
09
Double-check for compliance with reporting standards set by regulatory bodies.
10
Submit the completed report by the deadline specified for your region.

Who needs FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONG-TERM CARE FACILITIES?

01
Long-term care facilities that seek reimbursement from government programs or need to report their financial status.
02
Management and administrators of care facilities for budget planning and financial analysis.
03
Accountants and financial professionals responsible for ensuring compliance and accurate reporting.
04
State and federal regulatory agencies that monitor the financial health of long-term care services.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.5
Satisfied
59 Votes

People Also Ask about

Nursing home costs by state StateShared room per dayPrivate room per day California $322 $400 Colorado $282 $320 Connecticut $453 $499 District of Columbia $345 $34547 more rows • Sep 26, 2023
The Centers for Medicare and Medicaid Services (CMS), a component of the U.S. Department of Health and Human Services (HHS), administers Medicare, Medicaid, the Children's Health Insurance Program (CHIP), the Clinical Laboratory Improvement Amendments (CLIA), and parts of the Affordable Care Act (ACA) ("Obamacare").
How to Create a Cost Report? Creating a cost report requires gathering data from multiple sources such as invoices, contracts, and timesheets. This data should then be organized into categories such as labor costs, materials, and overhead expenses.
Nursing homes and assisted living facilities Nursing homes represent the most expensive long-term care option, with private rooms costing an estimated 10,646 U.S. dollars per month in 2024. Semi-private rooms are slightly more affordable at 9,277 U.S. dollars monthly.
Cost reports are generally prepared by Cost Consultants and sometimes Quantity Surveyors to keep the client informed about the Project Cost. A cost report includes the costs incurred by the time of reporting and all the future costs (Forecast Cost) that is likely to be incurred during the rest of the project.
Each year, Medicare Part A providers must submit an acceptable Medicare Cost Report (MCR) package to their Medicare Administrative Contractor (MAC) for the purposes of determining their Medicare reimbursable cost. The MCR package consists of a variety of cost report materials.
How to Create a Cost Report? Creating a cost report requires gathering data from multiple sources such as invoices, contracts, and timesheets. This data should then be organized into categories such as labor costs, materials, and overhead expenses.
A Medicare Cost Report (MCR) is a financial account submitted from Medicare-certified entities, such as skilled nursing facilities, hospitals or hospices, to a Medicare Administrative Contractor (MAC). Each entity updates its report at the end of its fiscal year, and MCRs publish quarterly.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The FINANCIAL AND STATISTICAL REPORT, commonly known as the Cost Report, is a comprehensive document that long-term care facilities must complete to provide detailed financial and operational data to state and federal regulatory bodies. It encompasses a variety of financial metrics, operating statistics, and service delivery information relevant to the facility's performance and costs.
All long-term care facilities that receive Medicaid reimbursement and certain facilities that participate in Medicare are required to file the FINANCIAL AND STATISTICAL REPORT (Cost Report). This includes nursing homes and other similar care settings.
To fill out the Cost Report, facilities need to gather financial records, operational data, and any other required information from their accounting systems. The report typically includes sections on revenue, expenses, service utilization, and statistical data. It's essential to follow the guidelines provided by the state Medicaid agency or Medicare to ensure accurate completion.
The purpose of the Cost Report is to ensure transparency and accountability in the financial operations of long-term care facilities. It enables regulatory bodies to assess the financial health, cost structures, and operational efficiencies of these facilities, which in turn influences reimbursement rates and funding allocations.
The information required on the Cost Report includes but is not limited to revenue received from various sources, detailed expenses (such as salaries, supplies, and administrative costs), patient census data, staff-to-resident ratios, and data on services provided. Specific reporting requirements may vary by state.
Fill out your financial and statistical report online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.